A Case of Hepatopulmonary Syndrome in a Patient with Child-Pugh Class A Liver Cirrhosis / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 47-51, 2009.
Article
Dans Coréen
| WPRIM
| ID: wpr-91424
ABSTRACT
Hepatopulmonary syndrome (HPS) is characterized by a defect in arterial oxygenation that's induced by pulmonary vascular dilatation in the setting of liver disease. Some studies have shown the relationship between the presence of the HPS and the severity of liver disease, but there are only rare cases of HPS inpatient with Child-Pugh class A liver cirrhosis. We report here on a case of a 58 years-old male who suffered from progressive dyspnea for the previous few years. He was diagnosed with alcoholic liver cirrhosis 5 years previously. There was no significant abnormality on the chest radiograph and transthoracic echocardiography, but the arterial blood gas analysis revealed severe hypoxemia. Contrast-enhanced transesophageal echocardiograpy with agitated saline demonstrated a delayed appearance of microbubbles in the left cardiac chambers. Thus, he was finally diagnosed with HPS. This case suggests that we should consider HPS when a patient with compensated liver cirrhosis has unexplained dyspnea.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Oxygène
/
Thorax
/
Gazométrie sanguine
/
Échocardiographie
/
Transplantation hépatique
/
Syndrome hépatopulmonaire
/
Microbulles
/
Dihydroergotamine
/
Dilatation
/
Dyspnée
Limites du sujet:
Humains
/
Mâle
langue:
Coréen
Texte intégral:
Tuberculosis and Respiratory Diseases
Année:
2009
Type:
Article
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